487-15233-41972

5 vaccinations 11 coded responses 53 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-24
Dose 1 — Moderna
2021-03-10
Registered in v-safe
2021-03-10
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth, Muscular weakness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Some leg weakness when out walking for several days. After 8 days, I developed a large, red, hot, itchy area on my arm, around the injection site. It lasted for several days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Moderna
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Joint pains

Adult check-in
2021-03-31
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Joint pains

Adult check-in
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Oedema peripheral, Pain in extremity — Feeling: Good

Free text: Soreness in left calf and above left knee for several weeks for no apparent reason. Some edema above left knee.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Dose 3 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Good · Site: Redness

Free text: Neck pain, left side, for the past few days

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Good · Site: Redness

Free text: Left side neck pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain — Feeling: Good · Site: Redness

Free text: Neck pain. May be unrelated to vax.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-08
Call 1 — Could Not Reach Participant
2021-12-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-13
Call successful
Participant prefers to complete VAERS report online
2022-01-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Dose 4 — Pfizer-BioNTech
2022-06-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-28
Survey response — day 14, dose 4
MedDRA: Abdominal discomfort, Dizziness — Feeling: Fair

Free text: Dizziness, stomach upset

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-11
Dose 5 — Moderna
2022-11-11
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-11-12
Survey response — days 1–6 daily, dose 5
MedDRA: Cold sweat, Hypotension, Pallor — Feeling: Poor · Site: Redness · Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Extremely low bp, clammy, pale

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — days 1–6 daily, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-11-13
Survey response — days 1–6 daily, dose 5
MedDRA: Poor quality sleep — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Poor sleep quality

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-11-14
Call successful
Participant prefers to complete VAERS report online
2022-11-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-11-18
Health check-in — day 7, dose 5
Feeling: Good · Headache

Adult check-in
2022-11-25
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 21, dose 5
MedDRA: COVID-19, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Positive for covid, sore throat and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — day 28, dose 5
MedDRA: Chills, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever, chills, sore throat, positive covid test

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-12
Call 1 — Left Voicemail
2022-12-13
Call successful
Does not wish to fill out VAERS report
2022-12-16
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-10
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-12
Survey response — 6 months, dose 5
MedDRA: Acupuncture, Arthralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-12
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-15
Call 1 — Left Voicemail
2023-05-22
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Moderna
2	2021-03-24	Moderna
3	2021-10-30	Moderna	No
4	2022-06-14	Pfizer-BioNTech	No
5	2022-11-11	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-10

Symptoms: Some leg weakness when out walking for several days. After 8 days, I developed a large, red, hot, itchy area on my arm, around the injection site. It lasted for several days.

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Soreness in left calf and above left knee for several weeks for no apparent reason. Some edema above left knee.

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Neck pain, left side, for the past few days

2021-11-04

Systemic reaction (other): Left side neck pain

2021-11-05

Systemic reaction (other): Neck pain. May be unrelated to vax.

Release 12 — day 14, dose 4

2022-06-28

Symptoms: Dizziness, stomach upset

Release 12 — days 1–6 daily, dose 5

2022-11-12

Systemic reaction (other): Extremely low bp, clammy, pale

2022-11-13

Systemic reaction (other): Poor sleep quality

Release 12 — day 21, dose 5

2022-12-02

Symptoms: Positive for covid, sore throat and runny nose

Release 12 — day 28, dose 5

2022-12-09

Symptoms: Fever, chills, sore throat, positive covid test

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Acupuncture	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Cold sweat	·	·	✓
SRO	Hypotension	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pallor	·	·	✓
SRO	Poor quality sleep	·	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release